<div action="createClaimSettlement" id="create_claim_settlement_dialog" class="dialog adddialog none" style="margin-top: -263px; margin-left: -325px;">
	<input type="hidden" name="claimId" />
	<div class="dialogTitle">赔付信息</div>
	<button class="closeDiv">×</button>
	<div class="dialog_content">
		<div class="dialogDataLine">
			<div>赔付人员：<input isNULL="1" codeName="赔付人员" name="settlementMan" type="text">
			</div>
			<div>赔付时间：
				<input isNULL="1" codeName="赔付时间" name="settlementDate" readonly="readonly" onclick="WdatePicker({})" type="text">
			</div>
		</div>
		<div class="dialogDataLine material">
			<div>附件信息：
				<input isNull="1" codeName="附件信息" value="" type="hidden" name="settlementFileUuid" id="settlementFileUuid">
				<input value="" name="file" type="file" class="none" id="claimMaterial" />
				<label class="claimMaterial" for="claimMaterial">添加</label>
			</div>
			<div></div>
		</div>
		<div class="dialogDataLine">赔付备注：
			<textarea isNULL="1" codeName="赔付备注" name="settlementRemark"></textarea>
		</div>
		<div>
			<table id="settlementInsuranceTable">
				<script type="text/template" id="settlementInsuranceTpl">
					{@each datas as it}
					<tr>
						<th>&nbsp;&nbsp;&nbsp;&nbsp;险种</th>
						<th>保额</th>
						<th>保费</th>
						<th>赔偿金额</th>
						<th>赔付日期</th>
					</tr>
					{@each it.insuranceCoverages as item}
					<tr>
						<td>&nbsp;&nbsp;&nbsp;&nbsp;
							<input type="hidden" value="${item.insuranceCoverageId}" name="insuranceCoverageId" />${item.coverageName}</td>
						<td>&#65509;${item.insuranceAmount}</td>
						<td>&#65509;${item.premium}</td>
						<td>
							<input name="indemnityAmount" type="text" />
						</td>
						<td>
							<input name="indemnityDate" readonly="readonly" onclick="WdatePicker({});" type="text" />
						</td>
					</tr>
					{@/each}
					{@/each}
			</script>
			</table>
		</div>
	</div>
	<div class="footerBtn ad_button">
		<div class="dialogBtn dialogHandlerBtn sure_yes">确定</div>
		<div class="dialogBtn dialogHandlerBtn sure_no">取消</div>
	</div>
</div>